New Fact Sheet Addresses Juul E-cigarettes

Juul are a new type of e-cigarette that are highly popular among teens. These devices have doubled the nicotine content of other e-cigarettes, so they are highly addictive. Juul has been receiving increased media attention because these devices look like flash drives and are being used in schools. The AAP has created a fact sheet to help clinicians, parents and educators identify and address “Juuling” with patients, teens and students.  Visit the AAP Richmond Center to download the fact sheet.

Join us tomorrow, Wednesday, January 10, for a CHIP Day of Action and tell Congress to fund CHIP long-term immediately.

Yesterday marked 100 days since Congress has failed to extend long-term funding for the Children’s Health Insurance Program (CHIP).

Join us tomorrow, Wednesday, January 10, for a CHIP Day of Action and tell Congress to fund CHIP long-term immediately.

Congressional inaction has created a dire situation for children, families and state legislatures.

Congress passed short-term funding for the program in December, but it falls far short from providing the stability that families and states need. Inadequate, patchwork funding is not the answer.

States have started to notify families that they may not have a source of coverage should Congress fail to enact a long-term extension of CHIP funding, and several states have started to use funds meant to operate the program to start shutting it down.

Congress must pass a spending bill to avert a federal government shutdown by January 19. As part of that vote, we are urging lawmakers to take immediate action and extend CHIP funding for five years.

How to Join Tomorrow’s Day of Action:

  1. Call your members of Congress. We’ve included the DC Office phone numbers for your members of Congress below as well as talking points to help guide your call. You can also email your legislators here.
  2. Share messages on social media using #SaveCHIP. The AAP’s newly-updated CHIP Advocacy Toolkit has sample messages.
  3. Encourage others to join you. The AAP is joining with several other children’s health and advocacy groups for tomorrow’s Day of Action. The more voices joining together at the same time with the same message, the most likely Congress will be compelled to act.

As a reminder, the AAP’s CHIP Advocacy Toolkit includes all of this information and more, such as CHIP state fact sheets, information on state of play and social media graphics. Thank you for your ongoing commitment to speaking up for children and families who rely on CHIP!

Rep. Don Young (R) (202) 225-5765  Sen. Lisa Murkowski (R) (202) 224-6665  Sen. Daniel Sullivan (R) (202) 224-3004

Talking points

  • Hello. I am pediatrician from {your state} and a member of the American Academy of Pediatrics. I am calling today to urge {U.S. Senator’s name/U.S. Representative’s name} to pass legislation immediately that would extend current funding for the Children’s Health Insurance Program (CHIP) for five years and maintain the bipartisan history of the program.
  • CHIP funding expired over 100 days ago. Now, families are facing uncertainty and entering the new year without knowing if their children will have health care coverage.
  • The short-term solutions Congress has offered so far do not give families the relief they needso that their children can access care, and also fail to address states’ funding concerns. States and families need stability.
  • Because CHIP funding has not been extended, states have been forced to make difficult choices as they question the future of their CHIP programs. Actions include sending notices to families that they may not be able to rely on CHIP for more than another month or two. Already several states are using funds meant to operate the program to begin the process of shutting it down.
  • It doesn’t have to be this way. CHIP is a bipartisan success story. The program was created in 1997 and has been championed by lawmakers on both sides of the aisle since its creation.
  • Nearly 9 million children across the country are enrolled in the program. CHIP stands on the shoulders of Medicaid to cover children in working families who are not eligible for Medicaid and lack access to affordable private coverage.
  • The program is designed around what children need. It offers benefits that are age-appropriate, including dental coverage and mental health and substance abuse services, which may not be covered by a family’s employer-sponsored insurance.
  • CHIP plans include networks of pediatricians, pediatric medical and surgical subspecialists, and children’s hospitals, which are especially critical for children with special health care needs.
  • Please extend current CHIP funding for five years immediately. Inadequate, patchwork funding is not the answer. As families begin a new year, they must be reassured that their children will not go a single day without health care coverage.
  • Thank you for all you do for children!

Tougher State Laws Curb Vaccine Refusers

The legislation, enacted in 2011, required parents to talk to a doctor before they could get their child exempted from vaccinations for nonmedical reasons.

Read the whole article >>

CDC Health Advisory Alert

Please read the following health alerts from the Centers for Disease Control and Prevention and share with your colleagues

Screening patients in hurricane-affected areas

There have been media reports and accounts of various infectious diseases in hurricane-affected areas, including Puerto Rico and the U.S. Virgin Islands. Because of compromised drinking water and decreased access to safe water, food and shelter, the conditions for outbreaks of infectious disease exist. Clinicians assessing patients currently in or who have recently returned from hurricane-affected areas are being asked to be vigilant in looking for certain infectious diseases, including leptospirosis, dengue, hepatitis A, typhoid fever, vibriosis, and influenza. Learn more and get recommendations.

Hepatitis A outbreaks in California

A large hepatitis A outbreak is ongoing in California with a majority of reported cases among those who are homeless, who use injection and non-injection drugs. The outbreak is being spread person-to-person and through contact with a fecally contaminated environment. The CDC notes that person-to-person transmission through close contact is the primary way people get hepatitis A in the United States. San Diego, Santa Cruz and Los Angeles counties have declared local outbreak status. Outbreak associated cases have been confirmed in other California jurisdictions. Get details and resources.

Serogroup B Meningococcal disease outbreak at Oregon State University

Five OSU students have been diagnosed with serogroup B meningococcal disease during this academic year; the most recent case diagnosed Nov. 24. Meningococcal disease outbreaks can persist for months. Clinicians: Be aware of an ongoing serogroup B meningococcal disease outbreak as many OSU students will be travelling or returning home during the winter break.

See advisory notice and resources.

Men Found Six Times More Likely Than Women To Have Highest Risk HPV Infection

More than three times as many men than women in the U.S. have oral infections with human papillomavirus (HPV), a virus responsible for causing 31,500 new cancers every year, found a new study. And the HPV strain responsible for the vast majority of HPV-related cancers in the U.S. occurred orally six times more often in men than in women, researchers learned.

Read the Entire Article at Forbes >>

For the 2017–18 season, Medicaid will reimburse up to five monthly palivizumab doses from November 27 through May 15

For the 2017–18 season, Medicaid will reimburse up to five monthly palivizumab doses from November 27 through May 15. Except for the date change to accommodate a Monday start, the eligibility criteria for palivizumab will remain the same as during 2016–17, and will continue to reflect the 2009 AAP criteria (Table).5,6  If the 2017–18 RSV season starts prior to November 27, Medicaid will adjust the coverage dates accordingly.

Why HPV Vaccination Rates Remain Low in Rural States

The potentially life-saving cancer vaccine has been around for more than a decade, so why isn’t everyone getting it?

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